NMAT_ID_Form-1031504331
1
NMAT IDENTIFICATION FORM (Must be SUBMITTED to the Examiner on the day of the test) Bank Reference Number : 3282547904 NMAT Application Number : 1031504331 Name of Applicant : ARA TEDICA NICOLE FERRER LOPEZ Mailing address : 23 B CHRYSOLITE STREET NORTHVIEW 1, FILINVEST II, QUEZON CITY, Quezon City, Metro Manila (NCR) 1126 Philippines Name of College Graduating/Graduated From : University of Santo Tomas, Manila City, Metro Manila (NCR) Month and Year Graduating/Graduated : April 2014 Test Center : Manila Test Date : March 29, 2015 FOR THE APPLICANT: 1. For GRADUATING college students , please have your School Head affix his/her signature on the space provided below. For college GRADUATES , please bring a photocopy of your official Transcript of Records (TOR) and submit it to the Examiner on the day of the test. 2. Bring this Form to the nearest Bank of the Philippine Islands (BPI) branch and pay the NMAT Registration and Test Fees (PhP1900.00 PHP) on or before February 27, 2015 . Copy exactly the Bank Reference Number found on the upper left portion of this Form and CEM's BPI account number 1881- 0450-24 on the BPI Payment/Deposit Slip. . 3. Check your e-mail (including your spam mailbox) after two (2) banking days for your payment confirmation email. Visit also the NMAT Online website to verify the status of your NMAT application and to download the NMAT Practice Set and Supplementary Handout after payment has been confirmed. 4. You must also visit the NMAT Online website two weeks before the test date to know your room assignment and to download your Examination Permit. 5. Affix your signature on the certification below: I hereby certify that I have read, fully understand, and accept all the information, terms and conditions specified on the NMAT website www.cem-inc.org.ph/nmat , including the NMAT policies on refund of test fees and on failure to take or complete the test on the test date and test center indicated on this Form. I further certify that all information given on this Form is true and correct to the best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the NMAT or invalidation of my NMAT results. Signature of the Applicant Date Signed FOR THE SCHOOL HEAD: Please affix your signature on the space provided below to attest to the identity and academic status of the person getting your signature. I hereby certify that the person in the picture is one and the same as the NMAT applicant who is a candidate for graduation of this institution on the date he/she specified and whose signature appears above. Printed Name and Signature of School Head Designation of School Head Date Signed Page 1 of 1 1031504331 Downloaded on: Feb. 22, 2015 02:33pm
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Transcript of NMAT_ID_Form-1031504331
NMAT IDENTIFICATION FORM(Must be SUBMITTED to the Examiner on the day of the test)
Bank Reference Number : 3282547904 NMAT Application Number : 1031504331
Name of Applicant : ARA TEDICA NICOLE FERRER LOPEZ
Mailing address : 23 B CHRYSOLITE STREET NORTHVIEW 1, FILINVEST II, QUEZON CITY,Quezon City, Metro Manila (NCR) 1126 Philippines
Name of College Graduating/Graduated From : University of Santo Tomas, Manila City, Metro Manila (NCR)Month and Year Graduating/Graduated : April 2014
Test Center : Manila Test Date : March 29, 2015
FOR THE APPLICANT:
1. For GRADUATING college students, please have your School Head affix his/her signature on the space provided below.For college GRADUATES, please bring a photocopy of your official Transcript of Records (TOR) and submit it to the Examiner on the day of the test.
2. Bring this Form to the nearest Bank of the Philippine Islands (BPI) branch and pay the NMAT Registration and Test Fees (PhP1900.00 PHP) on or before February 27, 2015.Copy exactly the Bank Reference Number found on the upper left portion of this Form and CEM's BPI account number 1881-0450-24 on the BPI Payment/Deposit Slip..
3. Check your e-mail (including your spam mailbox) after two (2) banking days for your payment confirmation email. Visit also the NMAT Online website to verify the status of your NMAT application and to download the NMAT Practice Set and Supplementary Handout after payment has been confirmed.
4. You must also visit the NMAT Online website two weeks before the test date to know your room assignment and to download your Examination Permit.
5. Affix your signature on the certification below:
I hereby certify that I have read, fully understand, and accept all the information, terms and conditions specified on the NMAT website www.cem-inc.org.ph/nmat, including the NMAT policies on refund of test fees and on failure to take or complete the test on the test date and test center indicated on this Form. I further certify that all information given on this Form is true and correct to the best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the NMAT or invalidation of my NMAT results.
Signature of the Applicant Date Signed
FOR THE SCHOOL HEAD:Please affix your signature on the space provided below to attest to the identity and academic status of the person getting your signature.
I hereby certify that the person in the picture is one and the same as the NMAT applicant who is a candidate for graduation of this institution on the date he/she specified and whose signature appears above.
Printed Name and Signature of School Head Designation of School Head
Date Signed
Page 1 of 11031504331 Downloaded on: Feb. 22, 2015 02:33pm
